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Index de Enfermería
On-line version ISSN 1699-5988Print version ISSN 1132-1296
Abstract
HERNANDEZ CANTU, Enoc Isaí et al. Effects of the prone position in the treatment of acute respiratory syndrome in patients with COVID-19. Index Enferm [online]. 2021, vol.30, n.3, pp.184-188. Epub June 06, 2022. ISSN 1699-5988.
Objective:
To measure the effects of the prone position on ventilatory parameters in the treatment of patients with acute respiratory syndrome secondary to COVID-19.
Methods:
Through a descriptive, cross-sectional, prospective study, a sample of 103 patients with acute respiratory syndrome (ARDS) secondary to COVID-19 was studied. The patients were placed in the prone position indefinitely and clinical ventilatory parameters were monitored such as blood pressure oxygen (PaO2), oxygen saturation (SatO2) and relationship between partial pressure of oxygen and inspired fraction of oxygen (PaO2 / FiO2).
Results:
The concentration of FiO2 decreased from 100% in the supine position to 69% in the prone position, the PaO2 / FiO2 increased from 74 to 122 millimeters of mercury (mmHg), the basal PaO2 was recorded at 51 mmHg and after the change in position it was of 89 mmHg, also the SatO2 improved from 84% to 93%.
Conclusions:
The prone position can significantly improve the PaO2, SatO2 values, as well as the PaO2 / FiO2 ratio, and in general, the clinical status of the patient with ARDS.
Keywords : Prone position; Acute respiratory syndrome; COVID-19; Mechanical ventilation.